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目的临床探讨老年急性胆囊炎患者腹腔镜胆囊切除术的疗效。方法回顾性研究我院2014年3月~2016年3月收治的老年急性胆囊炎患者98例的临床资料,患者入院接受相关检测后,均给予腹腔镜胆囊切除术进行治疗,观察术后患者的疗效及术后恶性并发症的发生率。结果 98例患者均成功完成腹腔镜胆囊切除术,无病例因术后胆囊与其周围组织发生严重粘连而转行开腹手术;患者住院时间为5~8天,平均住院时间(5.5±1.0)天;患者术后均未出现切口感染、腹腔感染、胆管损伤或胆漏等恶性并发症。结论临床腹腔镜胆囊切除术治疗老年急性胆囊炎患者具有疗效好、术程短、出血少、恢复快、并发症少及安全性高等优势,是治疗老年急性胆囊炎的一种理想方法。
Objective To investigate the curative effect of laparoscopic cholecystectomy in elderly patients with acute cholecystitis. Methods The clinical data of 98 elderly patients with acute cholecystitis who were treated in our hospital from March 2014 to March 2016 were retrospectively studied. All the patients were treated with laparoscopic cholecystectomy after admission, and the patients undergoing laparoscopic cholecystectomy were observed. Efficacy and incidence of postoperative malignant complications. Results All the 98 patients underwent laparoscopic cholecystectomy. No cases had severe adhesions of the gallbladder with the surrounding tissues. The hospitalization time was 5 to 8 days and the average length of hospital stay was 5.5 ± 1.0 days. No postoperative incision infection, abdominal infection, bile duct injury or gallbladder leakage and other malignant complications. Conclusions Clinical laparoscopic cholecystectomy in elderly patients with acute cholecystitis has the advantages of good curative effect, short operative procedure, less bleeding, quick recovery, fewer complications and higher safety. It is an ideal method for the treatment of acute cholecystitis in the elderly.